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. 2025 Jan 7;317(1):198.
doi: 10.1007/s00403-024-03719-1.

Investigating the impact of perceived social stigmatization and social appearance anxiety on quality of life among patients with facial skin diseases

Mamoona Zahra  1 , Aisha Zubair  2 , Naeem Aslam  2 , Memoona Naz  2
Affiliations

Investigating the impact of perceived social stigmatization and social appearance anxiety on quality of life among patients with facial skin diseases

Mamoona Zahra et al. Arch Dermatol Res. .

Abstract

Background: This study investigates the interplay between perceived social stigmatization, social appearance anxiety, and quality of life in individuals with facial skin diseases. Furthermore, it undertakes the psychological and social impact of visible skin diseases, such as acne, atopic dermatitis, rosacea, enlarged pores, and vitiligo, on individuals' quality of life. These conditions not only cause physical discomfort but also lead to feelings of sadness, anxiety, and low self-esteem. The research aims to investigate how perceived social stigmatization and social appearance anxiety affect the well-being of individuals with facial skin diseases. By examining these factors, the study highlights the need for dermatology-tailored interventions to address the psychological and social challenges faced by this group.

Methods: This study was conducted between July to October 2023. A purposive sample (N = 250) included both men (112) and women (138) with an age range of 18 to 45 years (M = 28.01, SD = 4.65). The study utilizes standardized measures of the Perceived Social Stigmatization Questionnaire, Social Appearance Anxiety Scale, and Skin Related Quality of Life Scale, to assess the study variables. The data were collected from various hospitals and clinics in Islamabad and Rawalpindi.

Results: The results revealed that perceived social stigmatization and social appearance anxiety negatively impact skin-related quality of life among individuals with facial skin problems. Females exhibit higher levels of these concerns compared to males, leading to a more impaired quality of life. Additionally, individuals suffering from specific skin conditions for a long time experience elevated levels of stigmatization and anxiety, further impairing their quality of life.

Conclusions: These findings highlight the significance of addressing social stigmatization and social appearance anxiety in dermatology-tailored interventions aimed at the quality of life for individuals dealing with facial skin concerns.

Keywords: Facial skin problems; Perceived Social Stigmatization; Quality of life; Social appearance anxiety.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: The study was approved from the Ethical Review Committee of National Institude of Psychology Quaid-Azam-University Islamabad, Pakistan. Written informed consent was taken from all the participants. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

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